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Brian Center Hlth & Rehab

πŸ“ 1306 South King Street, Windsor, NC 27983 πŸ“ž (252) 794-5146 πŸ›οΈ 72 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 28, 2025 Complaint Investigation

May 28, 2025 Health Inspection

Fines and Penalties by Year

2025 1 penalties totaling $0

$0
May 6, 2025

Payment Denial

2020 1 penalties totaling $5,000

$5,000
Sep 2, 2020

Fine

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Health Violations by Year

2025 8 violations

Tag 0550 D May 28, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 13, 2025
Tag 0585 D May 28, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jun 13, 2025
Tag 0880 F May 28, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 13, 2025
Tag 0882 F May 28, 2025

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

βœ“ Corrected: Jun 13, 2025
Tag 0945 E May 28, 2025

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

βœ“ Corrected: Jun 13, 2025
Tag 0600 G May 6, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: May 28, 2025
Tag 0607 G May 6, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: May 28, 2025
Tag 0607 D Apr 10, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Apr 24, 2025

2024 1 violations

Tag 0842 B Aug 6, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Aug 16, 2024
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2023 15 violations

Tag 0550 D Aug 10, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Aug 30, 2023
Tag 0561 E Aug 10, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Aug 30, 2023
Tag 0677 D Aug 10, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 30, 2023
Tag 0684 D Aug 10, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Aug 30, 2023
Tag 0686 D Aug 10, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 30, 2023
Tag 0698 E Aug 10, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Aug 30, 2023
Tag 0727 D Aug 10, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Aug 30, 2023
Tag 0732 C Aug 10, 2023

Post nurse staffing information every day.

βœ“ Corrected: Aug 30, 2023
Tag 0745 D Aug 10, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Aug 30, 2023
Tag 0760 D Aug 10, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Aug 30, 2023
Tag 0761 E Aug 10, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Aug 30, 2023
Tag 0867 E Aug 10, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Aug 30, 2023
Tag 0880 E Aug 10, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 30, 2023
Tag 0883 D Aug 10, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Aug 30, 2023
Tag 0550 D Mar 8, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 21, 2023

2022 6 violations

Tag 0745 D Oct 19, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Nov 15, 2022
Tag 0550 D May 19, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 16, 2022
Tag 0677 E May 19, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 16, 2022
Tag 0756 E May 19, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jun 16, 2022
Tag 0757 E May 19, 2022

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 16, 2022
Tag 0842 E May 19, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 16, 2022
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2021 1 violations

Tag 0658 D May 5, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: May 24, 2021

2020 3 violations

Tag 0580 D Dec 9, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Dec 31, 2020
Tag 0580 D Sep 2, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 25, 2020
Tag 0880 E Sep 2, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 25, 2020
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2019 7 violations

Tag 0641 E Oct 11, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 8, 2019
Tag 0642 D Oct 11, 2019

Ensure a qualified health professional conducts resident assessments.

βœ“ Corrected: Nov 8, 2019
Tag 0658 D Oct 11, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Nov 8, 2019
Tag 0684 D Oct 11, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 8, 2019
Tag 0686 D Oct 11, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Nov 8, 2019
Tag 0758 D Oct 11, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Nov 8, 2019
Tag 0867 D Oct 11, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Nov 8, 2019

2018 5 violations

Tag 0641 D Sep 27, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 22, 2018
Tag 0690 D Sep 27, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 22, 2018
Tag 0759 D Sep 27, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Oct 22, 2018
Tag 0557 D Aug 24, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Sep 14, 2018
Tag 0677 D Aug 24, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 14, 2018
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2017 1 violations

Tag 0312 D Aug 17, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Sep 13, 2017
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